Skip to main content

Advertisement

Log in

Characteristics Associated with Differences in Reported Versus Measured Total CholesterolAmong Male Physicians

  • Published:
Journal of Primary Prevention Aims and scope Submit manuscript

Abstract

We studied 4,543 male physicians to assess accuracy of self-reported cholesterol level. The rate of accurate reporting improved over 14 years (25% to 62%), while failing to report a cholesterol level decreased. Overweight, current or past smoking, and physical inactivity were significantly associated with not reporting or inaccurately reporting cholesterol level. Though an increasing proportion of physicians accurately reported their cholesterol level over time, those at increased risk for developing cardiovascular disease tended to underestimate or fail to report their cholesterol level. Knowledge may be a critical factor in empowering physicians and patients to advocate for and adopt healthier lifestyles.

Editors’ Strategic Implications: Rates of sedentary behavior and obesity in the U.S. continue to rise. In this promising study with a large sample, a longitudinal design, and multi-method assessments, we find that—even among this sample of highly educated medical professionals—those individuals who are at greatest cardiovascular risk might require different types of monitoring, motivational interventions, or health education.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Carleton, R. A. (1983). Coronary heart disease and human behavior. Preventive Medicine, 12(5), 610–618.

    Article  Google Scholar 

  • Cooper, R., Desvign-Nickens, P., Fortmann, S. P., Friedman, L., Havlik, R., Hogelin, G., et al. (2000). Trends and Disparities in Coronary Heart Disease, Stroke, and Other Cardiovascular Diseases in the United States. Circulation, 102, 3137–3147.

    Google Scholar 

  • Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). (2001). Journal of the American Medical Association, 285(19), 2486–2497.

    Google Scholar 

  • Factors Related to Cholesterol Screening and Cholesterol Level Awarenss–-United States. (1989). Morbidity and Mortality Weekly Report, 39(37), 633–637.

    Google Scholar 

  • Final Report on the Aspirin Component of the Ongoing Physician’s Health Study (1989 July). New England Journal of Medicine, 321, 129–135.

    Google Scholar 

  • Frank, E., Winkleby, M. A., Fortmann, S. P., Rockhill, B., & Farquhar, J. W. (1992). Improved cholesterol–related knowledge and behavior and plasma cholesterol levels in adults during the 1980s. Journal of the American Medical Association, 268(12), 1566–1572.

    Article  Google Scholar 

  • From the Centers for Disease Control. Factors related to Cholesterol Screening, Cholesterol Level Awarenss–-United States–-1989. (1990). Journal of the American Medical Association, 264(23), 2985–2986.

    Google Scholar 

  • Gould, A. L., Rossouw, J. E., Santanello, N. C., Heyse, J. F., & Furberg, C. D. (1998). Cholesterol reduction yields clinical benefit: impact of statin trials. Circulation, 97(10), 946–952.

    Google Scholar 

  • Healthy People 2010: Understanding and improving health. (2000). Washington, DC: U.S Department of Health and Human Services.

  • Heath, G. W., Fuchs, R., Croft, J. B., Temple, S. P., & Wheeler, F. C. (1995). Changes in blood cholesterol awareness: Final results from the South Carolina Cardiovascular Disease Prevention Project. American Journal of Preventative Medicine, 11(3), 190–196.

    Google Scholar 

  • Heath, G. W., Vartiainen, E., & Wheeler, F. C. (1993). Self-reported frequency of serum cholesterol testing, awareness of test results, and laboratory cholesterol values in two South Carolina communities. Public Health Reports, 108(4), 465–470.

    Google Scholar 

  • Hunink, M. G., Goldman, L., Tosteson, A. N., Mittleman, M. A., Goldman, P. A., Williams, L. W., et al. (1997). The recent decline in mortality from coronary heart disease, 1980–1990. The effect of secular trends in risk factors and treatment. Journal of the American Medical Association, 277(7), 535–542.

    Article  Google Scholar 

  • Klag, M. J., Mead, L. A., Ford, D. E., Pearson, T. A., Levine, D. M. (1993). Validity of physicians’ self-reports of cardiovascular disease risk factors. Annals of Epidemiology, 3(4), 442–447.

    Google Scholar 

  • Lipid Research Clinics Program: Manual of Laboratory Operations, vol. 1. Lipid and lipoprotein analysis. (No. NIH 75-628) (1974). Washington DC: DHEW Government Printing Office.

  • Nash, D. T. (1982). Hyperlipidemia therapy: Can it prevent coronary atherosclerosis? Postgraduate Medicine, 72(2), 207–211.

    Google Scholar 

  • National Cholesterol Education Program. Report of the Expert Panel on Population Strategies for Blood Cholesterol Reduction: Executive summary. National Heart, Lung and Blood Institute, National Institutes of Health. (1991). Archives of Internal Medicine, 151(6), 1071–1084.

  • Nieto, F. J., Chambless, L. E., Zhong, M., Ceraso, M., Romm, F. J., Cooper, L., et al. (1995). Population awarenss and control of hypertension and hypercholesterolemia. The Atherosclerosis Risk in Communities Study. Archives of Internal Medicine, 155(7), 677–684.

    Article  Google Scholar 

  • Pieper, R. M., McGovern, P. G., Shahar, E., Blackburn, H., Luipker, R. V. (1997). Trends in cholesterol knowledge and screening and hypercholesterolemia awareness and treatment, 1980–1992. The Minnesota Heart Survey. Archives of Internal Medicine, 157(20), 2326–2332.

    Article  Google Scholar 

  • Randomised trial of cholesterol lowering in 4444 patients with coronary heart disease: The Scandinavian Simvastatin Survival Study (4S) (1994). Lancet, 344(8934), 1383–1389.

  • Schucker, B., Wittes, J. T., Santanello, N. C., Weber, S. J., McGoldrick, D., Donato, K., et al. (1991). Change in cholesterol awareness and action. Results from national physician and public surveys. Archives of Internal Medicine, 151(4), 666–673.

    Article  Google Scholar 

  • Stampfer, M. J., Sacks, F. M., Salvini, S., Willett, W. C., & Hennekens, C. H. (1991). A prospective study of cholesterol, apolipoproteins, and the risk of myocardial infarction. New England Journal of Medicine, 325(6), 373–381.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard E. Scranton.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Scranton, R.E., Sesso, H.D., Glynn, R.J. et al. Characteristics Associated with Differences in Reported Versus Measured Total CholesterolAmong Male Physicians. J Primary Prevent 26, 51–61 (2005). https://doi.org/10.1007/s10935-004-0991-z

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10935-004-0991-z

Navigation